Scott A. Estes
Analyst · Barclays Capital
Thanks, George, and good morning, everybody. I apologize. I'm a little bit under the weather today. I have a little bit of a cold, so not quite 100%, but, I have a lot of exciting things to talk about today. As George discussed, 2011 was clearly a remarkable year, in which we transformed our portfolio, completing a record-breaking $6 billion of growth investments. Our portfolio continued to perform well in the fourth quarter, highlighted by blended same-store cash NOI growth of 4%. Our recent investment success and strong internal growth drove 21% FFO per share growth, and 18% FAD per share growth in the fourth quarter. Our relationship investment strategy continues to differentiate the company, having completed an additional $1.2 billion of high-quality investments in the fourth quarter and our recently announced expansion into Canada. At this point, our largest operators are performing well, and as George mentioned, we remain confident that we can generate both internal growth from our existing portfolio and external growth from our relationship investment program. Finally, our balance sheet remains strong, and we had ample liquidity with $1.6 billion of line capacity in cash on hand entering 2012. Turning to the details of the quarter. Regarding investment activity, we completed a significant $1.2 billion of growth investments during the fourth quarter, which, again, speaks to the consistency and sustainability of the HCN relationship-based approach to investing. The assets added during the fourth quarter were virtually all private-pay seniors housing and medical office buildings, nearly 75 of which are located in the top 31 MSAs, and are generally in the upper echelon of our portfolio in terms of asset quality. We believe these are outstanding additions to the portfolio and plan on making them available for property tours throughout the year. We profile many of our newest investments on our website and encourage you all to take a look as well. As detailed in the press release, we completed $178 million in seniors housing triple-net lease investments during the quarter. The most significant of these was the addition of 5 facilities to our existing Brandywine Senior Living partnership for $120 million at a 7% yield. These assets are a strong geographic fit with our existing portfolio and are all located in the New York and Philadelphia MSAs. In addition, we completed $627 million of investments in senior housing operating assets at a blended yield of 6.2%, which reflects the higher quality and growth potential of these investments. The largest of these investments was the $415 million addition to our Merrill Gardens partnership. These properties are located in excellent West Coast markets, including the San Diego, Santa Barbara, San Jose and Seattle MSAs. And we also assumed $224 million of debt associated with this portfolio at an attractive rate of 3.5%. With the portfolio expected to stabilize over the next 3 years, we expect it to generate NOI growth of 5% or better for 2014 and then 4% to 5%, longer term. And we also added 2 outstanding facilities to our operating portfolio through our new $185 million partnership with Belmont Village Senior Living. These facilities are only 2 years old, are in exceptional condition and are located in the premier submarkets of Los Angeles and San Diego. Consistent with our overall operating portfolio, we're confident that these properties will also generate long-term NOI growth of 4% to 5%. Also during the quarter, we completed the acquisition of 12 medical office buildings for a total of $263 million at a blended yield of 6.8%. The additions average nearly 78,000 square feet in size, are only 7 years old, they boast 94% occupancy and are 100% affiliated with major health systems. These are state-of-the-art outpatient facilities offering services such as outpatient surgery, radiology, oncology, hematology and neuroscience. As a result of these acquisitions, the overall percentage of our medical office portfolio of square footage affiliated with health systems has increased to 87% at year end. And finally, yesterday, we did announce our entry into Canada, through a $925 million transaction with Chartwell Seniors Housing REIT. Our aggregate investment of approximately $503 million will be funded through a combination of $244 million in new and assumed debt at a blended rate of 4.7% and approximately $259 million in cash. I would note that we put a hedge in place to effectively fix the purchase price to the anticipated second quarter closing date by locking in the exchange rate on the cash portion of the transaction. Now Chartwell is the largest seniors housing operator in Canada and will represent our 6th operating partner in the Health Care REIT portfolio. This portfolio consists of 42 facilities with approximately 8,200 units, with over half of the facilities located in the 5 largest Canadian markets and the majority of the remainder located in the top 35 Canadian census metropolitan areas. Importantly, the portfolio has the potential for expanding occupancy beyond the current rate of 88% over time. The year 1 NOI yield on our investment is expected to be approximately 7.4% after management fees. As a result, we expect the transaction to be immediately accretive to FFO and generate NOI growth of 4% to 5% over the longer term. We will not consolidate the 50-50 portion of this investment and we'll report the net income from these facilities on the income from unconsolidated entities line of our income statement. And again, as I mentioned, we do expect the transaction to close during the second quarter of 2012. I'm turning now to portfolio performance. Before I begin, I would point out a few changes to our supplement this quarter. We included Property Level Coverage after Management Fees on Page 2 of the supplement, and we also added some more detailed disclosure regarding our operating portfolio on Page 7, which includes the Summary at the bottom of the page detailing operator concentration within the operating portfolio, as well as Health Care REIT's ownership percentage. First, both our stable seniors housing and skilled nursing post-acute care portfolios continue to perform in line with expectations. In regards to our seniors housing triple-net lease portfolio, payment coverage stands at a solid 1.4x, while occupancy increased 50 basis points from the prior quarter to 88.2% on September 30, as reported in the supplement. Through the month of October and November, our stable seniors housing triple-net occupancy continued to strengthen and is tracking about 89% as of the end of November. This performance contributed to the strong 4.7% year-over-year same-store cash NOI growth within the seniors housing triple-net lease portfolio during the fourth quarter. Now I would provide a brief update on -- about our skilled nursing portfolio including some comments regarding Genesis. We continue to believe that skilled nursing facilities are the most efficient, cost-effective settings for providing many healthcare services, and we intend to focus our portfolio on a select number of key relationships with the strongest operators. Our most recent cash flow coverage is listed in the supplement for the trailing 12 months ended September 30 with a strong 2.2x. Our overall skilled nursing occupancy increased 20 basis points from the prior quarter to the current 88%, while same-store cash NOI increased 1.5% in the fourth quarter versus the prior year. I would note that same-store NOI would have increased by the more normal 2.5% to 3% this quarter but was going up against a tough comp of 4.9% growth in the fourth quarter of 2010, which included a significant catch-up of CPI-based revenues that quarter. Now I'd provide a brief perspective regarding how our operators are performing since the Medicare reimbursement changes went into effect on October 1 of 2011. Although significant, the Medicare daily rate impact through December and January was actually somewhat less than originally projected when considering the potential impact above the 11% Medicare rate reductions and the changes in reimbursement for therapy services. In terms of Genesis, we had a chance to catch up with George Hager and his team last week. They are performing slightly above expectations, with their Medicare daily rate coming in slightly above projections through January of this year, combined with the successful execution of cost mitigation efforts. Specifically to date, they've already put in place about $70 million of $80 million of annualized cost savings contemplated for 2012. Now looking ahead, Genesis remains focused on increasing occupancy and improving quality mix. They've actually developed a plan to expand the short-stay post-acute component of their portfolio to grow overall quality mix at a more accelerated rate than in recent years. As a result, we again remained confident in our view regarding Genesis's overall operating performance and their ability to pay our rent, as we expect the company's corporate level fixed charge coverage to be at approximately 1.4x in calendar 2012. At this point, I'll provide an update on our seniors housing operating portfolio, which is comprised of our RIDEA's partnerships. The blended occupancy across our private operating portfolios at year end increased 70 basis points versus the prior quarter to 87.3%. In addition, same-store operating portfolio cash NOI for the quarter increased 7.7% versus the comparable quarter last year, driven by a combination of 30 basis point occupancy increase, a 5% revenue per occupied unit growth and a slight expansion in margins. Our operating portfolio continues to perform in line with expectations, and we remain comfortable with our NOI growth expectation of 4% to 5% over the long term. Now moving to the medical facilities portfolio. Our MOB portfolio performed well in the quarter, with same-store occupancy increasing 20 basis points sequentially to 93.6%, while same-store cash NOI grew 0.4% for the quarter and 1.9% for the year. For 2012, we expect our overall MOB portfolio occupancy to improve slightly to the 94% range, a tenant retention rate of approximately 80%. And note that only 6% of leases are expiring this year. In regards to our hospital portfolio. Cashable payment coverage remained strong at 2.5x. We again experienced solid 3.5% same-store cash NOI growth in our hospital portfolio during the fourth quarter versus last year. Our Life Science portfolio also performed well in the quarter generating strong same-store cash NOI growth of 7.8% and the portfolio remains full at 100% occupancy. Turning now to financial results. We did report normalized fourth quarter FFO per share of $0.91, an increase of 21% versus last year's quarter and normalized FAD per share of $0.80 up 18% versus the comparable quarter last year. Our quarterly performance is driven by the internal growth generated by our existing portfolio combined with our success investing profitably throughout the year. We recently declared the 163rd consecutive quarterly cash dividend for the quarter ended December 31 of $0.74 per share, representing a 7% increase over the same period last year. In terms of fourth quarter capital activity. We successfully raised $630 million of equity in November, which funded a portion of our fourth quarter acquisition activity. We also issued 665,000 shares under our dividend reinvestment program, generating over $32 million in proceeds and issued 106,000 shares through our at-the-market program generating an additional $5 million in proceeds. At the end of 2011, we had $1.4 billion available on our $2 billion line of credit, and had additional $163 million of cash and cash equivalents, providing $1.6 billion in liquidity as we enter 2012. At the end of December, our debt to undepreciated book capitalization stood at 46.1%, a decline of 50 basis points versus the prior quarter. Our secured debt to total assets was 14.2%. Our trailing 12-month interest and fixed charge coverage remains solid at 3.0x and 2.4x, respectively. Our net debt to EBITDA -- excuse me, net debt to adjusted EBITDA as reported in our supplement was 6.9x but I think more importantly, including the full annualized EBITDA from our fourth quarter investments and then backing out transaction cost impairments, loan loss and gains, it was about 6.2x. Over the longer term, we continue to expect to drive debt to undepreciated book capitalization towards the 40% level and net debt to EBITDA at 6x or below. Finally, I'll review just briefly our 2012 guidance and assumptions that are contained in our earnings release. As a reminder, our guidance for 2012 does not include the impact of any additional investments other than our existing development pipeline in the Chartwell investment. We expect to report 2012 FFO in a range of $3.68 to $3.78 per diluted share, representing strong 8% to 11% growth. Our 2012 FAD expectation is a range of $3.26 to $3.36 per diluted share, which also represents a strong 9% to 12% increase over normalized 2011 results. In terms of investments, our 2012 guidance includes our $503 million Canadian investment expected to close in the second quarter and $248 million of funded development throughout the year for projects currently under construction. We expect approximately $200 million of dispositions at an average 11% yield consisting primarily of skilled nursing assets that don't match our focus on post-acute care. Now finally, we're projecting development conversions for projects currently under construction of approximately $355 million at an average cash yield of 8.6%. As we have explained in the past, we believe our current portfolio mix is an excellent balance of higher growth opportunity through our operating portfolio supported by the more stable long-term rate increases expected out of our triple-net lease portfolio and medical office buildings. As a result, we're currently forecasting same-store cash NOI growth of approximately 3% in 2012. And last, our G&A forecast is approximately $91 million this year, which includes approximately $5 million of accelerated expensing of stock-based compensation, which will hit the first quarter. These changes, in part, reflect our continuing addition and retention of outstanding professionals who have helped us successfully manage the significant growth within our portfolio. Operator, with that, that concludes my prepared remarks, and we'd like to open the call for questions.